ME/CFS services in the United Kingdom

This appears to be a new service(?) under Lancashire Care NHS trust.

Found this job advert:
"
Lancashire Care NHS Foundation Trust

Clinical Specialist Physiotherapist

Band 7

0.6 WTE (22.5 hours/week)

Chronic Fatigue Syndrome (CFS) / Myalgic Encephalomyelitus (ME) and Rheumatology

An exciting new opportunity has arisen for a keen and motivated Physiotherapist with experience of working with clients with ME / Chronic Fatigue Syndrome (CFS) to join a new multi-disciplinary team. We provide a service over a wide geographical area in Central Lancashire with a variety of clinic locations. This role will be based at the Minerva Centre Preston.

You will be delivering a full range of specialist Physiotherapy interventions including activity management, graded activity, energy conservation, relaxation skills and advice regarding daily living /work to both individuals and groups.

An important part of the role is also to provide a specialist resource/education offering expert guidance and information to other Physiotherapy staff and health and social care professionals.

The successful applicant will assess and manage a mixed caseload of patients with chronic fatigue both on a 1:1 basis and in groups. There will be opportunities for close interdisciplinary working and research and service development.

You will have experience of working as a physiotherapist within the speciality area of Chronic Fatigue as well as of improving and developing service and practice......"

It says:
"For more information on Lancashire Care please visit our website via Lancashire Care "

on that site, I did a search for Chronic fatigue syndrome:

"
Search results for: chronic fatigue

Cartegories
Chronic Fatigue Syndrome "

Error: Requested service hasn't been defined correctly or is empty.


so I'm none the wiser.

 

Physio Terrorist specialising in chronic fatigue without any knowledge of neuro immune Myalgic Encephalomyelitis deja vu all over again.

 

Another advert for similar job. This one at the Royal Free Hospital in London.

Current job advertisement for a part-time GET specialist physiotherapist at the Royal Free Hospital in London to cover maternity leave-
http://jobs.royalfree.nhs.uk/job/UK...rust/Chronic_Fatigue/Chronic_Fatigue-v1163506

Note this from personal specification document - “Experience of working with a wide variety of client groups, across the whole life course presenting problems that reflect the full range of clinical severity including maintaining a high degree of professionalism in the face of highly emotive and distressing problems, verbal abuse and the threat of physical abuse."

 

That is common throughout medicine and psychiatry and is not limited to us...

 

Thanks @Snow Leopard, I did wonder if that was a standard sentence in all NHS job applications. Obviously that doesn’t take away from the issue that graded exercise therapists are still used in these ‘fatigue’ clinics which will include ME patients.

 

I have now looked at the job details further for both GET therapists posts at CFS clinics in Lancashire and Royal Free. Although I took on board Snowleopard’s observation that the information in the personal specification about being prepared for threat of physical or verbal abuse may be standard in NHS jobs applications, it says further down in the Royal Free person specification that the -

"Ability to identify and employ mechanisms of clinical governance as appropriate, to support and maintain clinical practice in the face of regular exposure to highly emotive and challenging behaviour"

which kind of implies that it comes with the particular job, not the chance of encountering random abusive people in the course of working in a hospital. And since it's such a specific job that this person would be doing then I think you can say that the implication is that CFS/ME /MUS patients regularly have 'highly emotive and challenging behaviour'.

Also, if you compare the job description and person spec with the one for the Lancashire (preston) post in the OP- then it appears to me that the Lancashire one has used more generic NHS job description terms, tweaking them perhaps to suit this particular job, whereas the Royal Free one has put theirs together specifically for that job.

The Lancashire one says -

“Management of a clinical caseload of patients with highly complex and/or additional physiotherapy needs.
3.The post holder will be communicating a wide range of information to all levels across organisations including at strategic level. This may be very sensitive or highly contentious and require the post holder to use appropriate specialist skills to ensure co-operation with the recipient
10. Be able to use communication skills effectively in situations which may be sensitive, emotional or hostile. Deploy effective communication strategies to ensure that contentious information is imparted sympathetically to all parties. Provide therapeutic consultations with patients/relatives or carers when for example breaking bad news.
11. Address inappropriate behaviour in a professional manner.”

The above look quite generic to me, probably selected from a drop-down list, copied and pasted, perhaps just tweaked a little.

At the bottom it says:

“Does the job involve dealing with any distressing or emotional circumstances? – Please detail.

Dealing with elderly patients/ vulnerable adults/ patients with mental/ physical disabilities, patients with mental health problems. Exposure - direct How often? - frequent.”

But for “Dealing with conflict and aggression Exposure - Direct How often? - occasional”.

So we have the same job in the same Band (7) in two different areas of the country. At the Royal Free they seem to consider that the post holder will have regular exposure to highly emotive and challenging behaviour, but in Lancashire they only think that they may be dealing with conflict and aggression occasionally.

 

Wasn't there a similar job listing (for maybe the Liverpool) service which attracted a lot of complaints a year or so ago?

 

So this rather tells the lie to the claim by psychiatrists that most patients love their doctors and their therapists and the people who cause trouble are a tiny fringe minority of nutcases. It seems that they are expecting quite a lot of patients to be dissatisfied with the behaviour of their health professionals. In fact they are likely to be regularly abusive.

That is not quite how Dr Wessely painted things.

 

Yes it was Liverpool I think but if my memory serves me right it was a good few years ago.

 

Perhaps forum members should apply, we have unique personal insights into ME/CFS
And we would be more effective then reality deniers (keep that part silent till after your hired).
Since the goal is to get us back into paid work this is a grand opportunity to practice what they preach

Gaslighting is not limited to politics

 

"Royal United Hospitals Bath


Fatigue ManagementClinical services
CFS/ME Adults
We're planning to relocate this service to a purpose build RNHRD and Therapies Centre at the RUH's Combe Park site in 2019, find out more here
Our chronic fatigue syndrome (CFS)/myalgic encephalomyelitis (ME) service provides a local, regional and national service for adults with CFS/ME and acts in a specialist advisory capacity for professionals working with adults with the condition.

The service was set up in 2005 as a result of the Department of Health's CFS/ME Service Investment Programme, which made £8.5 million available between 2004 and 2006 to develop services for people with CFS/ME."

http://www.rnhrd.nhs.uk/page/84

Expert team
includes:

Dr Esther Crawley FRCPCH PhD
Consultant paediatrician
Dr Esther Crawley is the clinical lead for the CFS/ME service for children and young people which she started in 2004. She completed her medical training in Oxford and did a PhD at University College London and Great Ormond Street Hospital.

Dr Crawley is a Reader at the University of Bristol, researching CFS/ME in children and adults. Her research projects include: the epidemiology of CFS/ME in children; qualitative studies in to the impact of this condition in the families; the development of a Patient Reported Outcome measure as well as both treatment and prevention trials.

Dr Crawley is deputy chair of the CFS/ME Research Collaborative, sits on the NIHR panel for doctoral fellowships, is on the University of Bristol Council and is a medical advisor to the Association of young people with ME and the Sussex ME Society "


time to update the website too?

 

Tempting to do a rewrite ...but I will be good

 

Just looking at the various regional NHS sites:
Bristol...pretty bad (as you'd expect), recommend Trudie Chalders book.

Worcestershire Health and Care trust: has some additional 'gems'
"

• Personality – Evidence suggests that individuals with certain personality features are more likely to develop CFS/ME. Often, individuals with the condition have high expectations of themselves, are somewhat perfectionist and frequently view strength, ability to cope and independence as very important personal characteristics.

"

"

• Beliefs and attitudes – there is now strong evidence that certain beliefs can play a role in the maintenance of the illness. At the outset, there is often a strong belief that once must ‘push on’ regardless of the level of fatigue. This can be counteracted later by a real fear of making things worse. Beliefs about the danger of an activity can therefore act as a troublesome maintaining factor."

"
Role of professionals – Some individuals may have experienced unhelpful interactions with health professionals, due to the confusion around the condition. This may have been in the form of inappropriate or lack of advice, misdiagnosis, or a failure to acknowledge the symptoms or the condition. This can cause real distress and alienation in a person suffering from and trying to make sense of the symptoms. Fortunately this is becoming more infrequent as education around the condition improves. "

really?

"
As a service, we cannot give hope that we can get rid of the symptoms. By its very nature, CFS is a persisting condition and there are no known treatments to cure it. However, by adopting the biopsychosocial model you can gain further control over the symptoms, reduce the effect that it has on your life and in turn, improve your quality of life and functional independence, despite the fatigue. "

https://www.hacw.nhs.uk/our-services/chronic-fatigue-syndrome/what-is-chronic-fatigue-syndrome/

 

South Tees NHS
The CFS service
Group Rehabilitation
Programme
for people with CFS / ME



https://www.southtees.nhs.uk/content/uploads/Session-1-2017.pdf

as long as this sort of stuff is peddled, asking for more ME/CFS services is maybe asking for more of the same(?)

 

It's easy to see why they would suppress the evidence that they thought the condition was related to hypochondriasis and somatisation.

 

Child and Adolescent Mental Health Services (CAMHS), Specialist Intervention Team at Newland House - NHS

"Complex mental health disorders might include:

• Acute psychiatric illness (such as bipolar disorder or schizophrenia)
• Anxiety / generalised anxiety disorder (GAD)
• Attachment disorder
• Depression / major depressive disorder (MDD)
• Mixed anxiety-depressive disorder
• Myalgic encephalomyelitis (ME) / chronic fatigue syndrome (CFS)
• Obsessive compulsive disorder (OCD)
• Post-Traumatic Stress Disorder (PTSD)
• Self-harm, attempted suicide, suicidal ideation / thoughts
• Severe phobias
• Somatization / psychosomatic disorders
• Substance misuse
• Unresolved bereavement "

https://www3.northamptonshire.gov.u...ialist-intervention-team-at-newland-house-nhs

you can't get more blatant than this (can't find an emoji to adequately express my anger).

eta: calmed down a bit now. what is soooo annoying is 'they' say, ah well prescribing CBT doesn't mean that we think its a psych problem, lots of patients with different illnesses have CBT to help them cope.........I can't see cancer on the list

eta2: just realised that link was to Northamptonshire County council

this is the direct NHS link
https://www.nhft.nhs.uk/camhs
https://www.nhft.nhs.uk/camhs/venue...tion-team-camhs-psychiatry-newland-house-299/